Healthcare Provider Details

I. General information

NPI: 1871420828
Provider Name (Legal Business Name): NUTRITIONAL MARKETING & DIETETICS CONSULTING GROUP, PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

165 STREET #90, CENTRO INTERNACIONAL DE MERCADEO TOWER 2, SUITE 303
GUAYNABO PR
00968
US

IV. Provider business mailing address

PO BOX 16364
SAN JUAN PR
00908-6364
US

V. Phone/Fax

Practice location:
  • Phone: 787-671-5706
  • Fax:
Mailing address:
  • Phone: 787-671-5706
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: SANDRA LUZ ORTIZ ROSADO
Title or Position: PRESIDENT
Credential: LND
Phone: 787-671-5706